Quine S, Taylor R, Hayes L
Department of Public Health and Community Medicine, University of Sydney.
J Biosoc Sci. 1995 Oct;27(4):409-19. doi: 10.1017/s0021932000023026.
This ecological study examines trends in socioeconomic differentials in mortality in New South Wales, Australia, over a 20-year period (1970-89). The proportion unskilled was used as the indicator of socioeconomic status and its selection justified. Using census data aggregated by Local Government Area, the relationship between mortality and socioeconomic status was examined using quintiles based on the proportion unskilled in the population. Local Government Areas were also sorted into quintiles using mortality rates (0-74 years) to describe change in mortality differentials over time. Socioeconomic differentials were more evident in the relatively homogeneous Local Government Areas within the Sydney Statistical Division than in the remaining NSW Statistical Divisions which are more heterogeneous and predominantly rural. Although there has been an overall decline in mortality for males and females, and for high and low status groups, over this period the relative socioeconomic differentials have not declined. For the most recent period (1985-89) there appears to be some widening of differentials for males. The NSW state trends are generally similar to those reported for Britain and for other industrialised countries, suggesting that this is a common trend and that policies to reduce inequalities have not been effective.
这项生态学研究考察了澳大利亚新南威尔士州在20年期间（1970 - 1989年）死亡率方面的社会经济差异趋势。非技术工人比例被用作社会经济地位的指标，并说明了其选择的合理性。利用地方政府区域汇总的人口普查数据，基于人口中非技术工人的比例，通过五分位数来研究死亡率与社会经济地位之间的关系。地方政府区域也根据死亡率（0 - 74岁）分为五分位数，以描述死亡率差异随时间的变化。与新南威尔士州其他更具异质性且主要为农村地区的统计分区相比，悉尼统计分区内相对同质的地方政府区域的社会经济差异更为明显。尽管在此期间男性和女性、高地位和低地位群体的死亡率总体呈下降趋势，但相对社会经济差异并未下降。在最近时期（1985 - 1989年），男性的差异似乎有所扩大。新南威尔士州的总体趋势与英国及其他工业化国家报告的趋势大致相似，这表明这是一个普遍趋势，且减少不平等的政策并未奏效。
